appeal?
have you appealed?
I have UHC and they denied my claim for ADR twice. UHC claims that ADR is experimental... My doctor knew that UHC would deny the claim so his office set me up with an advocate group that works with/for Synthes the maker of ProDisc (Patient Assistant Line. PAL) they were the ones that put together all my medical records and put the appeal together and fought very hard to help overturn the denial.
7 months later an independent review origination (MCMC) decided that ADR is the right procedure for me and that it is NOT experimental. Now on Tuesday (11-22-11) Ill be having my L4-L5 replaced using ProDisc L.
if you read my posts in Insurance Hell (Fought UHC and won... and Patient Assistant Line (PAL) & Advocate) I talk about what PAL is and how they helped appeal the decision UHC.
I hope you find the best answer for you.
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Becky (30 yrs old) From Wisconsin.
2004 my back goes out for the first time.
MRI in 2004, 2009 & 2011 DDD L4-L5.
MRI in 2011 more DDD and disc starting to bulge.
Fought UHC for 8 months and WON 
October 31, 2011 IRO overturned UHC denial!
November 22, 2011 my spine got an upgrade.
(ProDisc-L) Best medical decision I have ever made
http://www.facebook.com/rebeccabille
my story: http://youtu.be/hT1jKmcOV8Y
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